Next time I will DEF be demanding a C/S!!! I had an episiotomy after a long labour when my baby was in distress and stuck in the birth canal so was cut and had the vacuum. I had many discussions with my ob, who said he would only do an epi if absolutely necessary - if a severe tear was going to result etc. The recovery was insane - My daughter is 16 months and I still have not recovered. It was agony to sit down for 3 months and at times now it is still tender! I had strong painkillers in hosp for 5 days, they had to keep my catheter in for 2 days as the nurses said I "was so swollen down there, if I had probs going to the toilet, it would be hell and excrutiating pain to get it back in again!"
My sis had an emerg c/s and didn't even need panadol the next day. She could walk and move around better then I could. she has since had a vbac and regrets it after tearing and the recovery being much worse and painful!!!

So I know its major surgery to have a C/S but I have endometriosis and reckon I have a high pain threshold and noone can understand the pain that others feel (which is a good thing!!!) so I think it really has to be an individual decision!